Children's Home run by One To One Crisis Intervention Ltd in Devon

Inspection report children’s home: SC068205 1 SC068205 Registered provider: One To One Crisis Intervention Ltd

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Full inspection Inspected under the social care common inspection framework

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Information about this children’s home

This children’s home is operated by a private company. It is registered to provide care and accommodation for one child or young person who may have emotional and/or behavioural difficulties and/or a learning disability.

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Information about this children’s home

Inspection dates: 21 to 22 September 2017

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Overall experiences and progress of

children and young people, taking into account

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outstanding

How well children and young people are helped and protected outstanding

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outstanding

The effectiveness of leaders and managers good

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outstanding

The children’s home provides highly effective services that consistently exceed the standards of good. The actions of the children’s home contribute to significantly improved outcomes and positive experiences for children and young people who need help, protection and care.

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outstanding

Date of last inspection: 12 January 2017

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outstanding

Overall judgement at last inspection: Sustained effectiveness

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Key findings from this inspection

This children’s home is outstanding because: Inspection report children’s home: SC068205 2  The young person who lives there is enjoying the benefits of a stable, single placement. He has excellent relationships with staff. He is making outstanding progress in many areas of his life, including in his emotional well-being, behaviour, social skills and education.  The manager and staff are highly motivated and committed to helping the young person achieve the very best he can while being under their care and protection. Excellent support is being given to the young person that is helping him to develop the necessary skills and understanding that will prepare him for his future as he matures into a young man.

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Key findings from this inspection

The children’s home’s areas for development:

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Key findings from this inspection

 While staff are experienced and benefit from a wide range of good quality training, there is further scope to explore additional opportunities for specialist training in caring for a young person who has a learning disability.  Care records maintained by the home are of a very good standard and clearly demonstrate good reflective practices. Some records need to be more explicit in their content. For example, records relating to serious incidents need to include clear evidence of a staff debriefing, and staff supervision records need to include, or at least make reference to, how safeguarding knowledge is constantly being refreshed and updated.

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Inspection date Inspection type Inspection judgement

12/01/2017 Interim Sustained effectiveness 07/09/2016 Full Good 22/03/2016 Interim Declined in effectiveness 01/10/2015 Full Good Inspection report children’s home: SC068205 3

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Statutory requirements

This section sets out the actions that the registered person(s) must take to meet the Care Standards Act 2000, Children’s Homes (England) Regulations 2015 and the ‘Guide to the children’s homes regulations including the quality standards’. The registered person(s) must comply within the given timescales.

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Requirement Due date

13: The leadership and management standard In order to meet the leadership and management standard the registered person must ensure that all staff have the experience, qualifications and skills to meet the needs of each child. (Regulation 13(2)(c)) In particular, this refers to the need for a more thorough exploration of specific training to meet the needs of a young person who has a learning disability. 30/11/2017

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Requirement Due date

35: Behaviour management policies and records In order to meet this regulation the registered person must ensure that within 48 hours of the use of a measure of control, discipline and restraint, the registered person or a person who is authorised by the registered person to do so has spoken to the user about the measure; and has signed the record to confirm it is accurate. (Regulation 35(3)(b)) In particular, this means that the manager’s review and written comments should explicitly include reference to a staff debrief and reflection of the incident with them in the incident record itself. 14/10/2017

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Overall experiences and progress of children and young people: outstanding

The young person has lived at this children’s home for more than a year, and during this time he has made excellent progress. Without exception, everyone who the inspector consulted, including the young person’s family, school, therapist and social worker, were unanimous in their belief that living in this children’s home is helping the young person achieve outstanding outcomes. Comments received included, ‘I think the home is wonderful’; ‘The staff are 100% dedicated to the young person’; ‘He has blossomed there’ ; and ‘the young person is made to feel special and wanted.’

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Overall experiences and progress of children and young people: outstanding

The manager and two support staff provide the young person with highly individualised care and support. They have established excellent relationships with him. They provide familiar structure and daily routines. Staff ensure that they model a positive and healthy family life. The young person is central to the home and to the decision-making that takes place. His opinions are regularly sought and he is expected to make his own contribution to day-to day tasks, such as helping with dishes. The physical environment Inspection report children’s home: SC068205 4 is maintained to a very high standard and presents as a lovingly cared for family home.

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Overall experiences and progress of children and young people: outstanding

The young person is given a wide range of opportunities to have positive experiences; these enhance his childhood. For example, staff work hard to ensure that the time that he spends with his family is positive and creates special memories for him. His friendships with other young people of his own age are facilitated, and he attends a variety of clubs where he is learning new skills and making new friends. The young person had a holiday abroad this year, which he thoroughly enjoyed, and there are plans to go on a skiing trip soon.

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Overall experiences and progress of children and young people: outstanding

The young person has attended the same school for five years. However, since living at this children’s home school staff have noticed a significant improvement in the young person. They state that he appears happier and that his engagement in his studies has improved. School staff are highly complimentary about the manager and staff at the home. They describe their communication and working together with them as ‘excellent’.

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Overall experiences and progress of children and young people: outstanding

The staff team helps the young person to live a healthy lifestyle. Excellent attention is given to providing a healthy diet and regular opportunities for exercise such as cycling, skiing and rugby. Specialist therapeutic help is provided directly to the young person and the manager receives regular clinical support, which she has found invaluable in helping her to meet the young person’s diverse and complex needs. As a result, the young person is being helped to develop his emotional well-being, understanding and social skills.

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Overall experiences and progress of children and young people: outstanding

The staff team places the well-being of the young person at the centre of their practice. The team advocates well on his behalf, challenges decisions and, where necessary, escalates concerns. The staff have an excellent awareness of the differences that they can make to the young person’s life chances and strive to provide the best care and support they can. For example, they are focusing on the employability of the young person and the skills he needs to develop now to help him to be successful in adult life.

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How well children and young people are helped and protected: outstanding

The young person living in this children’s home feels safe, secure and well cared for. He enjoys living in the home and values the strong relationships he has with the three adults who care for him. He benefits from being the only young person and enjoys the attention this arrangement affords. He has his own pets and has learned how to care for them.

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How well children and young people are helped and protected: outstanding

The staff team provides individualised, nurturing care combined with clear structure and boundaries. Consequently, the young person feels valued and knows what is expected of him. The staff team has been very effective in supporting him to manage his emotional responses and behaviour in a variety of situations he faces. They support him positively, helping him to talk about how he feels and how he can develop creative and alternative strategies to manage his feelings more successfully. Staff work effectively with therapists, the school and the placing authority to benefit the young person. The staff team has undertaken extensive research and gathered resources which staff are using to Inspection report children’s home: SC068205 5 help the young person to develop a better insight into how to keep himself safe and develop healthy sexual relationships in the future. A particularly positive achievement

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How well children and young people are helped and protected: outstanding

has been a significant reduction in the young person’s medication, which the manager initiated.

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How well children and young people are helped and protected: outstanding

Since living in the home, the young person’s behaviour has steadily improved both at home and in school. The manager carefully monitors and evaluates all incidents and can demonstrate that staff are effective in de-escalating a variety of situations. Physical interventions are rarely used, and if so at the lowest level possible to maintain safety. While records pertain to serious incidents, including the manager’s evaluative comments and the young person’s debrief, they do not always include an explicit record of a staff debriefing, although information is recorded elsewhere. Sanctions are not used; instead the young person is rewarded for his achievements. This approach is effective and engages the young person well.

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How well children and young people are helped and protected: outstanding

Staff recruitment processes within the company’s human resources team are thorough and are supported by the manager’s own oversight and sign off.

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The effectiveness of leaders and managers: good

The registered manager is appropriately qualified and experienced. She is passionate and inspirational. She is ambitious for her staff and the young person in their care. She wants to ensure that the young person benefits as much as he possibly can while living in this children’s home.

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The effectiveness of leaders and managers: good

The manager is reflective and considered in her practice. She is creative in her thinking and has high expectations of herself and others. She works effectively with the young person’s family, school, social worker and therapists to ensure the best possible outcomes for him.

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The effectiveness of leaders and managers: good

Staff feel well supported through regular supervision, team meetings and training. Supervision records are good but they do not explicitly show that staff are given regular opportunities to reflect on good safeguarding practice. However, other records demonstrate that staff are expected to undertake reflective learning tasks, which include a focus on safeguarding. While staff have a breadth of knowledge and qualifications so that they can meet the needs of the young person in their care, there is scope to develop and build on existing knowledge.

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Information about this inspection

Inspectors have looked closely at the experiences and progress of children and young people. Inspectors considered the quality of work and the differences made to the lives of children and young people. They watched how professional staff work with children and young people and each other and discussed the effectiveness of help and care provided. Wherever possible, they talked to children and young people and their families. In addition, the inspectors have tried to understand what the children’s home knows about how well it is performing, how well it is doing and what difference it is Inspection report children’s home: SC068205 6 making for the children and young people whom it is trying to help, protect and look after.

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Information about this inspection

Using the ‘Social care common inspection framework’, this inspection was carried out under the Care Standards Act 2000 to assess the effectiveness of the service, how it meets the core functions of the service as set out in legislation, and to consider how well it complies with the Children’s Homes (England) Regulations 2015 and the ‘Guide to the children’s homes regulations including the quality standards’. Inspection report children’s home: SC068205 7

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Children’s home details

Registered provider: One To One Crisis Intervention Ltd

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Children’s home details

Registered provider address: One To One Crisis Intervention, 5 Newton Road, Newton Abbot, Devon TQ12 3AL

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Inspector

Norma Welsby, social care inspector Inspection report children’s home: SC068205 8 achieve excellence in the care of children and young people, and in education and skills for learners of all ages. It regulates and inspects childcare and children’s social care, and inspects the Children and Family Court Advisory and Support Service (Cafcass), schools, colleges, initial teacher training, further education and skills, adult and community learning, and education and training in prisons and other secure establishments. It assesses council children’s services, and inspects services for children looked after, safeguarding and child protection.

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Inspector

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Inspector

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Inspector

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